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犬全髋关节置换术后的发病率和死亡率

Morbidity and Mortality Following Total Hip Replacement in Dogs.

作者信息

Liska William D, Israel Sarah K

机构信息

Global Veterinary Specialists PLLC, Houston, Texas, United States.

South Texas Veterinary Specialists - Bluepearl Stone Oak, San Antonio, Texas, United States.

出版信息

Vet Comp Orthop Traumatol. 2018 May;31(3):218-221. doi: 10.1055/s-0038-1632365. Epub 2018 Apr 21.

Abstract

OBJECTIVE

The objective of this study was to determine morbidity and mortality rates in dogs that had undergone a total hip replacement surgery with implantation of either a cemented or a cementless prosthesis (BioMedtrix LLC, Whippany, NJ).

METHODS

The survival time after surgery, the date of death and the cause of death were collated from an ongoing registry maintained on consecutive total hip replacement procedures by a single surgeon.

RESULTS

A review of the 1,864 dogs entered in the total hip replacement registry revealed 642 in which the date of death and cause of death were known. The mean life span of the dogs in this study was 11.3 years, with the longest being 17.1 years. The mean survival after total hip replacement was 4.66 years, with the longest being 16.1 years. Multiorgan system failure was more common than any single organ system failure. The most common pathophysiological process leading to death was neoplasia.

CLINICAL SIGNIFICANCE

Morbidity and mortality rates are helpful for surgeons to compare outcomes and to inform animal owners about anaesthesia and procedural risks when contemplating this surgery. This information can be used for a better understanding of expectations for a dog's health after total hip replacement surgery.

摘要

目的

本研究的目的是确定接受了骨水泥型或非骨水泥型假体(BioMedtrix LLC,新泽西州惠普尼)植入的全髋关节置换手术的犬只的发病率和死亡率。

方法

从一位外科医生对连续进行的全髋关节置换手术所维护的现行登记册中整理出手术后的存活时间、死亡日期和死亡原因。

结果

对全髋关节置换登记册中录入的1864只犬只的审查显示,其中642只犬只的死亡日期和死亡原因已知。本研究中犬只的平均寿命为11.3岁,最长为17.1岁。全髋关节置换后的平均存活时间为4.66年,最长为16.1年。多器官系统衰竭比任何单一器官系统衰竭更为常见。导致死亡的最常见病理生理过程是肿瘤形成。

临床意义

发病率和死亡率有助于外科医生比较手术结果,并在考虑进行该手术时告知动物主人麻醉和手术风险。这些信息可用于更好地了解犬只全髋关节置换手术后的健康预期。

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